美国医院建筑设计

弗吉尼亚大学卫生系统的急诊科和住院部为患者和工作人员提供了一个有良好的体验。扩建后的区域，病人和工作人员可以感受到大自然的平静，减少环境影响，允许更灵活地使用空间，并适应不断发展的医疗技术和最佳实践。

设计方法的核心是积极提高的患者、家庭和员工体验。病人和家属通过一个半圆形的景观迎宾区进入新的急诊科（ED）和床位塔，这个迎宾区像伸出的手臂一样从建筑中向外弯曲。

一进门，他们就可以看到28英尺高的中庭，高耸的窗户让整个空间充满了自然光。直径达12英尺的圆形天窗，加上凹陷的天花板上的星座灯，给空间带来了一种天体的感觉，仿佛让人仰望星空。

The University of Virginia Health System’s emergency department and in-patient bed tower offers an enhanced and dignified experience for patients and staff. The expansion connects patients and staff to the calming effects of nature, reduces environmental impact, allows for greater flexibility in use of space, and accommodates evolving medical technology and best practices. At the heart of the design approach are positive patient, family and staff experiences. Patients and family enter the new emergency department (ED) and bed tower through a landscaped, semicircular welcome area that curves outward from the building like outstretched arms. Once inside, they can marvel at a 28-foot-tall atrium with towering windows, which floods the space with natural light. Circular skylights spanning 12 feet in diameter, together with a constellation of recessed ceiling lights, lend a celestial feel to the space—as though one is looking up at starry sky.

浅色的木质天花板，与白色地板和天花板并置，营造出明亮和温暖的感觉。救护站位于较低的楼层。

救护车来的病人专用电梯可确保他们能迅速被运送到适当的护理区域。员工也受益。休息室、餐厅厨房和其他“屋后”区域提供了日光和户外景观。

对于那些要在封闭的手术室里连续工作几个小时的手术团队来说，毗邻的玻璃走廊——同样可以看到户外——可以让他们在手术间隙休息一下。这是独一无二的，因为在大多数医院，手术套房都位于大楼的核心。

A light-colored wood ceiling, juxtaposed with white floors and ceilings, creates a feeling of brightness and warmth. Ambulance bays are located on a lower level. An elevator dedicated to patients arriving by ambulance ensures they can be swiftly transported to the appropriate care area. Staff also benefit. Break rooms, eat-in kitchens, and other “back of house” areas provide daylight and views to the outdoors. For surgical teams who spend hours on end in an enclosed operating room, an adjoining glass corridor—also with views to the outdoors—affords them respite between procedures. This is unique, as in most hospitals, operating suites are located in the building’s core.

在急诊室的新空间中，有12间安全的行为健康室，为处于急性心理健康困境的患者提供了一个安全、平静的环境，还有一间专门的儿科检查和等候室，欢迎幼小的患者，这里有明亮的黄色沙发、儿童大小的座椅、造型有趣的天花板灯，以及通往光线充足的中庭的景观。

一面描绘着雪兰多山谷地形图的互动墙，邀请孩子们与其中的动物模型一起玩耍，这些动物模型可以沿着轨道滑动。为了最大限度地保护病人的隐私，床塔的设计采用了弧形墙，挡住了现有相邻医院病人房间的直接视线。

Among the new spaces in the ED are 12 secure behavioral health rooms that provide a safe, calming environment for patients in acute mental health distress and a dedicated pediatric check-in and waiting room to welcome the youngest patients with bright yellow couches, child-sized seating, a playfully shaped ceiling light, and views to the light-filled atrium. An interactive wall depicting a topographical map of the Shenandoah Valley invites children to play with built-in animal figures that can be slid along tracks. To maximize patient privacy, the bed tower was designed with curved walls that block direct views into the rooms of patients in the existing adjacent hospital.

曲线改变了医务人员和病人房间之间的视线，并增加了有趣的美感。

该建筑的设计符合较高的环保性能标准，采用了净水零排放的设计策略--这在医院中是非常罕见的--包括在救护室下面的一个5万加仑的蓄水池，可以收集灰水用于供暖和制冷，还有几个绿色屋顶，以减少水的流失。建筑物外部的金属翅片减少了眩光和热量，降低了能源消耗。

在2020年2月底和3月初的25天里，新床塔三层楼的84间原定于夏季开放的房间被无缝转换为负压房，以适应预计激增的COVID-19患者，灵活的设计支持了他们工作。4月3日，第一位COVID-19患者入院。

The curves improve sight lines between medical staff and patient rooms and add an interesting aesthetic touch. Designed to meet high environmental performance standards, the building employs net-zero water design strategies—highly unusual in a hospital—including a 50,000-gallon cistern under the ambulance bay that captures gray water for use in heating and cooling, and several green roofs that mitigate water runoff. Metal fins on the building’s exterior reduce glare and heat, lowering energy consumption. Over 25 days in late February and early March 2020, 84 rooms on three floors of the new bed tower that were originally scheduled to open by summer were seamlessly converted to negative pressure rooms, to accommodate an expected surge of COVID-19 patients, and the flexible design supported their strategic efforts. The first COVID-19 patient was admitted April 3.

建筑师：Perkins and Will建筑工作室

地点：美国

面积：440000平方英尺

年份：2020